DR. REED SCOTT WILSON M.D.
NPI 1013006212
Internal Medicine - Cardiovascular Disease in Beverly Hills, CA

NPI Status: Active since October 12, 2006

Contact Information

435 N ROXBURY DR
SUITE #300
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 859-9170

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  • Individual
  • Male
  • Internal Medicine
  • Cardiovascular Disease
  • PECOS Enrolled
  • Medicare Quality Reporting

About REED WILSON

This page provides the complete NPI Profile along with additional information for Reed Wilson, an internist established in Beverly Hills, California with a medical specialization in Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1013006212 assigned on October 2006. The practitioner's primary taxonomy code is 207RC0000X with license number G45920 (CA). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1013006212
Provider Name
DR. REED SCOTT WILSON M.D.
Gender
Male
Entity Type
Individual
Location Address
435 N ROXBURY DR SUITE #300 BEVERLY HILLS, CA 90210
Location Phone
(310) 859-9170
Mailing Address
325 N MAPLE DR UNIT 10417 BEVERLY HILLS, CA 90213
Mailing Phone
(310) 753-7311
Is Sole Proprietor?
Yes
Enumeration Date
10-12-2006
Last Update Date
08-21-2020
Code Navigator

An internist like Reed Wilson is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License No.
G45920
License State
CA
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

G45920 (CA)

Medicare Participation & PECOS Enrollment Status

Reed Wilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 16 times for 11 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 90210 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $142.39
  • Minimum New Patient Price $62.96
  • Maximum New Patient Price $187.6
  • Average New Patient Copayment $35.59
  • Minimum New Patient Copayment $15.74
  • Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $77.96
  • Minimum Established Patient Price $20.84
  • Maximum Established Patient Price $153.61
  • Average Established Patient Copayment $19.49
  • Minimum Established Patient Copayment $5.21
  • Maximum Established Patient Copayment $38.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy 65% 20
Percentage of patients aged 18 years and older with nonvalvular atrial fibrillation (AF) or atrial flutter who were prescribed warfarin OR another FDA- approved anticoagulant drug for the prevention of thromboembolism during the measurement period
Completion of the AMA STEPS Forward programYesN/A
Completion of the American Medical Association’s STEPS Forward program.
Coronary Artery Disease (CAD): Antiplatelet Therapy 100% 67
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
Documentation of Current Medications in the Medical Record 100% 901
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Engagement of patients through implementation of improvements in patient portalYesN/A
Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence.
Engagement of Patients, Family, and Caregivers in Developing a Plan of CareYesN/A
Engage patients, family, and caregivers in developing a plan of care and prioritizing their goals for action, documented in the electronic health record (EHR) technology.
Implementation of improvements that contribute to more timely communication of test resultsYesN/A
Timely communication of test results defined as timely identification of abnormal test results with timely follow-up.
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 100% 45
Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active diagnosis of ischemic vascular disease (IVD) during the measurement period, and who had documentation of use of aspirin or another antiplatelet during the measurement period
Tobacco useYesN/A
Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence.
Unhealthy alcohol useYesN/A
Unhealthy alcohol use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including screening and brief counseling (refer to NQF #2152) for patients with co-occurring conditions of behavioral or mental health conditions.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013006212, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 38. The final step is to find the difference between that total and the next multiple of ten (40 - 38 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 0 + 0 + 1 + 2 + 2 + 2 + 24 = 38

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 38 is 40. The difference is the calculated check digit.

40 - 38 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1013006212.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
435 N ROXBURY DR, STE. 104
BEVERLY HILLS, CA 90210
Nurse Anesthetist, Certified Registered
435 N ROXBURY DR, 104
BEVERLY HILLS, CA 90210
Dermatology
435 N ROXBURY DR, SUITE 210
BEVERLY HILLS, CA 90210
Dermatology
435 N ROXBURY DR, SUITE 204
BEVERLY HILLS, CA 90210
Dermatology
435 N ROXBURY DR, SUITE 210
BEVERLY HILLS, CA 90210
Internal Medicine
435 N ROXBURY DR, SUITE 300
BEVERLY HILLS, CA 90210
Nutritionist
435 N ROXBURY DR, 300
BEVERLY HILLS, CA 90210
Internal Medicine
435 N ROXBURY DR, SUITE 300
BEVERLY HILLS, CA 90210
Specialist
435 N ROXBURY DR, #200
BEVERLY HILLS, CA 90210
Clinic/Center (Ambulatory Surgical)
435 N ROXBURY DR, STE. 409
BEVERLY HILLS, CA 90210
Specialist
435 N ROXBURY DR, STE 407
BEVERLY HILLS, CA 90210
Clinical Neuropsychologist
435 N ROXBURY DR, SUITE 406
BEVERLY HILLS, CA 90210
Surgery
435 N ROXBURY DR, STE 100
BEVERLY HILLS, CA 90210
Internal Medicine (Cardiovascular Disease)
435 N ROXBURY DR, SUITE 300
BEVERLY HILLS, CA 90210
Clinic/Center (Ambulatory Surgical)
435 N ROXBURY DR, SUITE 405
BEVERLY HILLS, CA 90210
Specialist/Technologist, Other (Surgical Assistant)
435 N ROXBURY DR, STE 100
BEVERLY HILLS, CA 90210
Dermatology
435 N ROXBURY DR, SUITE 408
BEVERLY HILLS, CA 90210
Surgery (Plastic and Reconstructive Surgery)
435 N ROXBURY DR, STE 100
BEVERLY HILLS, CA 90210
Surgery (Plastic and Reconstructive Surgery)
435 N ROXBURY DR, 205
BEVERLY HILLS, CA 90210
Pediatrics
435 N ROXBURY DR, SUITE 311
BEVERLY HILLS, CA 90210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013006212, enumerated as an "individual" on October 12, 2006.

The provider is located at 435 N ROXBURY DR SUITE #300 BEVERLY HILLS, CA 90210 and the phone number is (310) 859-9170.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.